eMedicine Specialties > Plastic Surgery > Breast

Breast Reduction, Central Pedicle: Workup

Author: Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Coauthor(s): James Neal Long, MD, Assistant Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, University of Alabama at Birmingham and Kirklin Clinics
Contributor Information and Disclosures

Updated: Apr 20, 2009

Workup

Laboratory Studies

  • Order routine lab work according to the criteria for elective surgery under general anesthesia in the practicing physician's hospital. Age, medical history, social habits, and family history influence the need for these tests. If the surgeon has concerns, seek consultation from the patient's primary care provider.

Imaging Studies

  • Consider mammography in patients presenting for breast reduction surgery. Current practice suggests that mammograms should be obtained for patients aged 40 years and older. Some surgeons also advocate mammography in patients aged 35-40 years with a family history of breast cancer.

Other Tests

  • Determine the need for chest radiographs and ECG according to the criteria for elective surgery under general anesthesia in the practicing physician's hospital. Age, medical history, social habits, and family history influence the need for these tests. If the surgeon has concerns, seek consultation from the patient's primary care provider.

More on Breast Reduction, Central Pedicle

Overview: Breast Reduction, Central Pedicle
Workup: Breast Reduction, Central Pedicle
Treatment: Breast Reduction, Central Pedicle
Follow-up: Breast Reduction, Central Pedicle
Multimedia: Breast Reduction, Central Pedicle
References
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References

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  33. Georgiade NG, Serafin D, Morris R, Georgiade G. Reduction mammaplasty utilizing an inferior pedicle nipple-areolar flap. Ann Plast Surg. Sep 1979;3(3):211-8. [Medline].

  34. Ribeiro L, Accorsi A Jr, Buss A, Marcal-Pessoa M. Creation and evolution of 30 years of the inferior pedicle in reduction mammaplasties. Plast Reconstr Surg. Sep 1 2002;110(3):960-70. [Medline].

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Further Reading

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Keywords

breast reduction, central pedicle, macromastia, central pedicle breast reduction, reduction mammaplasty, central mound technique, large breasts, mammaplasty, mammoplasty, nipple reconstruction, nipple-areola complex, NAC, inframammary crease, IFM crease, breast reduction technique, reduction surgery, breast reduction pictures, large breast treatment, large breast reduction, large breast surgery, before breast reduction, after breast reduction, deep vein thrombosis, obesity, smoking, complications breast reduction, breast surgery complications, macromastia symptoms, large breast symptoms, breast reduction complications, breast reduction before, breast reduction after

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Contributor Information and Disclosures

Author

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

Coauthor(s)

James Neal Long, MD, Assistant Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, University of Alabama at Birmingham and Kirklin Clinics
James Neal Long, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Medical Association, American Society of Plastic Surgeons, Plastic Surgery Research Council, Sigma Xi, Southeastern Society of Plastic and Reconstructive Surgeons, and Southeastern Surgical Congress
Disclosure: Nothing to disclose.

Medical Editor

Pankaj Tiwari, MD, Assistant Professor, Division of Plastic Surgery, Ohio State University
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Steven F Morris, MD, MSc, FRCSC, Professor, Department of Surgery, Professor, Department of Anatomy and Neurobiology, Cross Appointment (Professor), Division of Otolaryngology, Member, Faculty of Graduate Studies, Dalhousie University; Attending Plastic Surgeon, Queen Elizabeth II Health Sciences Center and Izaak Walton Killam Grace Health Centre, Nova Scotia
Disclosure: Nothing to disclose.

 
 
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